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Claims Manager

Gainwell
hybridUSD 86,000 - 123,900 / year
Indianapolis, IN, US 46204-1077

About this role

About the Role

Gainwell Technologies is seeking a Claims Manager to lead claims operations supporting Indiana Medicaid programs. You will oversee adjudication, adjustments, escalations, and performance improvements while ensuring regulatory compliance and service excellence. This role partners with clients and cross-functional teams to deliver high-quality claims outcomes. What You'll Do

  • Lead daily claims operations to ensure service levels, quality standards, and client expectations are consistently achieved.
  • Manage teams responsible for claims adjudication, adjustments, escalations, inventory management, and issue resolution.
  • Monitor operational metrics and identify opportunities to improve productivity, accuracy, compliance, and customer satisfaction.

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